NUR 2830 EXAM 3 Updated 2024/2025 Actual Questions and answers with complete solutions

A 23-year-old nulliparous woman is concerned that her breasts seem to change in size all month long and they are very tender around the time she has her period. The nurse should explain to her that a. nonpregnant women usually do not have these breast changes and this is cause for concern. b. breasts often change in response to stress so it is important to assess her life stressors. c. cyclical breast changes are normal. d. breast changes normally occur during pregnancy and she should have a pregnancy test. - Answer-c A 3-year-old boy is brought to the emergency department with stridor, nasal flaring, intercostal and supraclavicular retractions, and respiratory rate of 40 breaths/min. What type of situation is this? a. Stable b. Acute c. Urgent d. Emergency - Answer-d A 45-year-old man has been admitted to the hospital with suspicion of pulmonary embolism. Which of the following symptoms should the nurse report to the primary health practitioner immediately? a. Chest pain b. Shortness of breath c. Respirations 20 breaths/min d. Productive cough - Answer-a A 62-year-old woman comes to the clinic with an exacerbation of asthma. Which of the following findings indicate worsening status of her asthma? a. Increased wheezing b. Sustained rhonchi c. Decreased respirations d. Pulse oximetry 94% - Answer-aA 92-year-old woman with a history of COPD presents with increasing shortness of breath, decreased lung sounds in the bases, increased ankle edema, and 5-lb weight gain in 1 week. What is the most likely problem? a. Impaired gas exchange b. Ineffective airway clearance c. Activity intolerance d. fluid volume excess - Answer-d A dorsalis pedis of +1/4 may indicate a. DVT. b. PAD. c. Raynaud disease. d. lymphadenopathy - Answer-b A high-pitched crowing sound from the upper airway (stridor) results from: a. Aspiration of foreign object b. Tracheal / laryngeal spasm c. All of the above d. Tracheal / laryngeal inflammation - Answer-c